14D0428054 CLIA NUMBER - HEALTHCARE ALTERNATIVE SYSTEMS INC

Laboratory Demographics

  • CLIA Code: 14D0428054
  • Facility Name: HEALTHCARE ALTERNATIVE SYSTEMS INC
  • Facility Address: 2755 W ARMITAGE AVE
    CHICAGO, IL
    ZIP 60647
  • Facility Phone: 773 252-3100
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARCO E. JACOME
  • NPI Number: 1578022141
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0428054
LAB Type Community Clinic
Facility Name HEALTHCARE ALTERNATIVE SYSTEMS INC
Street 2755 W ARMITAGE AVE
City CHICAGO
State IL
ZIP 60647
Phone 773 252-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Community Clinic
Lab Director MARCO E. JACOME

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This page was last updated on: 9/29/2025